2029例冠心病心绞痛中医证候特点及组合规律分析

作者	单位
周景想	山东省青岛市海慈医疗集团中医心内科
王学工	山东省日照市中医院心内科
唐明	山东省青岛市海慈医疗集团中医心内科
聂颖颖	山东省青岛市海慈医疗集团中医心内科
李洁	山东省青岛市海慈医疗集团中医心内科

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中文摘要:

目的探讨冠心病心绞痛中医证候要素的分布特点及其组合规律。方法建立2 029例冠心病心绞痛患者的证候数据库,利用统计学方法进行数据处理,研究证候要素及其组合规律。结果 (1)冠心病心绞痛证素分布特点:血瘀>气虚>痰浊>阴虚>痰浊偏热>阳虚>气滞>痰浊偏寒>寒凝,其中血瘀和气虚是最主要的2个证候要素,阴虚、痰浊偏热也具有重要的位置;(2)冠心病心绞痛证素组合规律:三因素证、二因素证最多;实性证素与虚性证素之间的组合是最重要的组合规律,气虚血瘀是最主要的组合形式。结论气虚、阴虚、痰浊、血瘀构成了冠心病心绞痛病机的4个主要环节,其中气虚血瘀是最基本的病机,证素组合具有一定的规律性。

英文摘要:

Objective To explore the element distribution features and syndrome combination laws of coronary heart disease angina.Methods The syndrome database of 2 029 patients with coronary heart disease angina was established to study the syndrome elements and syndrome combination laws.Results(1) The syndrome element distribution of coronary heart disease angina was featured as: blood stasis>qi deficiency>phlegm turbid>yin deficiency>phlegm turbid with more warm property>yang deficiency>stagnant qi>phlegm turbid with more cold >cold coagulation.Of them,qi deficiency and blood stasis were the main two syndrome elements,and phlegm turbid with more warm and yin deficiency also occupied important positions.(2) Syndrome combination laws of coronary heart disease angina: three elements syndrome and two elements syndrome were dominant.The combination of sthenia syndrome element and asthenia syndrome element was the most important combination laws.Qi deficiency and blood stasis was the main combination form.Conclusions Qi deficiency,yin deficiency,phlegm turbid,and blood stasis form four key links of its pathogenesis,in which,qi deficiency and blood stasis was the most basic pathogenesis.The syndrome element combination had some laws.

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